MRS. KIMBERLY DEEN FLYNN (NPI# 1912188459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912188459 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY DEEN FLYNN |
| Credential | MAT,CBRS,ITFS-P |
| Practice Address |
125 Manchester Trl Clayton NC 27527-5382 |
| Practice Telephone | 9195854425 |
| Mailing Telephone | 9195854425 |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2007-11-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598088460 | Kimberly Lockwood Flynn | Physician Assistant | 5809 Sunshine Park Dr, New Port Richey, FL 34652-5540 | 2010-03-08 |
| 1881185049 | Kimberly Flynn | Counselor | 1547 W Broad St, Columbus, OH 43222-1043 | 2018-05-23 |
| 1972857928 | Kimberly Nacole Flynn | Pharmacist | 3470 Blazer Pkwy, Suite 200, Lexington, KY 40509-1200 | 2012-10-30 |
| 1710245790 | Kimberly Ann Flynn | Social Worker | 237 Highland Ave, 1st Floor, Needham, MA 02494-3036 | 2012-04-27 |
| 1194836601 | Kimberly S Flynn | Physical Therapy Assistant | 3 Medical Plaza Dr, #100, Roseville, CA 95661-3087 | 2006-08-31 |
| Street Address |
125 MANCHESTER TRL |
| City | CLAYTON |
| State | NC |
| Zip Code | 27527-5382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538779590 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 24 Publix Drive, Clayton, NC 27527 | 2020-08-05 |
| 1740603661 | Early Speech Services. | Speech-Language Pathologist | 68 Bent Creek Court, Clayton, NC 27527 | 2014-01-29 |
| 1538591722 | Harris Teeter, LLC. | Pharmacy | 67 Flowers Crossroads Way, Clayton, NC 27527 | 2013-07-30 |
| 1407104284 | Realo Discount Drug Stores of Eastern North Carolina Inc | Durable Medical Equipment & Medical Supplies | 322 Pritchard Rd, Clayton, NC 27527 | 2012-08-27 |
| 1760768832 | American Vets Mobility & Equipment Corp. | Durable Medical Equipment & Medical Supplies | 180 Millstone Dr, Clayton, NC 27527 | 2011-11-02 |
| 1407138894 | Laura Beth Conn | Counselor | 18 Edinburgh Pl, Clayton, NC 27527 | 2011-09-13 |
| 1114153780 | Allegiance Community Care LLC | Community/Behavioral Health | 34 Orleander Dr., Clayton, NC 27527 | 2009-06-09 |
| 1861696239 | Belinda Post Mcferren | Psychologist | 753 Riverwood Dr, Clayton, NC 27527 | 2007-06-12 |
| 1194801852 | Riccobene Flowers | Dentist | 31 Oleander Drive, Clayton, NC 27527 | 2006-10-27 |
| 1265490361 | Leslie Ann Theys | Speech-Language Pathologist | 68 Bent Creek Ct, Clayton, NC 27527 | 2006-05-01 |
| Find all providers in zip 27527 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104269547 | Tekia Nicole White | Developmental Therapist | 375 Moore St, Clayton, NC 27520-2219 | 2013-04-16 |
| 1700194503 | Elizabeth Anne Cooper | Developmental Therapist | 914 Concordia Ln Apt 2s, Clayton, MO 63105 | 2010-09-15 |
| 1770749590 | Cherish Anne Scott | Developmental Therapist | 324 Norwood Dr, Clayton, NC 27527-4207 | 2008-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326645763 | Brittany Teach-lizzmore | Developmental Therapist | 800 Carolina Ave, Kinston, NC 28504-3551 | 2020-10-08 |
| 1770193153 | Kattiesha Plum | Developmental Therapist | 4160 Piedmont Pkwy, Greensboro, NC 27410-8174 | 2020-07-31 |
| 1255940581 | Toria Davenport | Developmental Therapist | 4160 Piedmont Pkwy Ste 207, Greensboro, NC 27410-8174 | 2020-07-22 |
| 1760014302 | Janet Monica De La Cruz | Developmental Therapist | 231 Sanders Rd, Benson, NC 27504-9185 | 2020-02-11 |
| 1881233682 | Michelle Ford | Developmental Therapist | 308 Romeo Ct, Henderson, NC 27537-4809 | 2019-12-27 |
| 1225670052 | Raquel Barden | Developmental Therapist | 711 Dude Ct, Fayetteville, NC 28303-3136 | 2019-10-14 |
| 1427617745 | Jackie Payne-mcgee | Developmental Therapist | 529 Black Maple Dr, Kannapolis, NC 28081-5880 | 2019-06-10 |
| 1962069286 | Leap Child & Family Services LLC | Developmental Therapist | 119 North Tradd Street, Statesville, NC 28677 | 2019-05-22 |
| 1720643349 | Satonya D Smyre | Developmental Therapist | 119 N Tradd St, Statesville, NC 28677-5269 | 2019-05-08 |
| 1881155372 | Shatoya Williamson | Developmental Therapist | 3330 Harbour Pointe Pl Unit 7, Fayetteville, NC 28314-1764 | 2019-03-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.